Brathwaite, Denise D.
Brathwaite, Denise D. is an sole proprietor health care provider with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Brathwaite, Denise D. can be contacted via phone (310) 832-3311.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G58680 | California |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G58680 | California |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G58680 | California |
Profile Details
NPI number | 1770524605 |
---|---|
LBN Legal business name | Brathwaite, Denise D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2006 |
Last updated | Jun 2nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770524605 | NPPES |
California | Other | 00G586800 | BLUE SHIELD |
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